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Application Checklist
Kindly fill out the application completely and in block letters. Use dark blue or black ball pen only. Please provide complete and authentic information. All Incomplete application forms will be rejected. While filing in the form please insert one letter per box. Leave a blank box between any two words. Do not forget to sign and date the declaration. If you require extra space to answer the questions in the application form, please write on the back of the application or add extra sheets of A4 size paper. However, refrain from exceeding the mentioned word limit Our Application form can also be downloaded from the website www.VishvaVidya.ac.in
Note: Please do not attach any documents to your application form (no originals or photo copies should be attached). All originals would be reviewed by VishvaVidya during the interview process. VishvaVidya Address: VishvaVidya School of Management and Technology Aditi Samruddhi, S. NO. 173/4, Baner, Pune - 411045 India. Phone: +91-20 66321086 / +91-20 66321098 Email: admissions@VishvaVidya.ac.in
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Application Form
Attest Passport Size Photograph Here
2. Gender
Male
Female
3. Status
Married
Single
Expiry Date
6. Do you have a passport? Passport No.
Yes
No
7. Address
Telephone No.
8. Mobile No.:
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In case of Guardian - Relationship Occupation ________________________________ Designation ____________________________ Company Name / Business Name: _______________________________________________________
11. Which Certification Programmes Would You Like To Apply For? ERP Financials ERP HRMS DBA + Apps DBA Oracle Application Developer ERP SCM ERP CRM Business Intelligence Data Warehousing (BI & DW) Software Quality Testing
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12. Academic Details Examinations taken (Please list in chronological order starting from most recent including examinations with results pending) Sr. Examining Passed Name of the Exam Date Subjects & Results / No. Institution/ Specialization Grades Month, Year College / School
13. Work Experience Details (starting from most recent) Please include all the full time/Part time/voluntary work experience Sr. Name of the Full Time / Duration Responsibilities No. Organization Part Time / (Months) Voluntary
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14. Other Achievements Academic/Non-Academic Sr. Type of Achievement Details of Achievement No.
15. What inspires you to pursue this course at this stage of your career?
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18. We at VishvaVidya focus on cultural diversity and consider it vital to any global enterprise set up. Write about your experiences so far, with different cultural backgrounds and your learnings from these interactions. (60 words)
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Global Certifications VishvaVidya, in addition to the above mentioned management programmes may also help students prepare for some global professional certifications. The certification exam will be optional to the students. If the students decide to take these exams the exam fees of these certifications needs to be paid by the students directly to the examination authority for such professional exams. I certify that I have read the above information, rules and code of conduct. I agree to familiarize myself with all the rules and regulations of the programme set forth by VishvaVidya School of Management & Technology in the document and abide by them. I would uphold the standards and respect the principles of VishvaVidya School of Management & Technology as an organization of higher learning. I have read the above terms and conditions (code of conduct), I understand and I accept them and shall not raise any dispute in future over the same rules.
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I wish to apply for the programmes on flexible mode. I have carefully read the academic and administrative rules and regulations of the VishvaVidya as given in this document and application material and agree to abide by the same. I understand that these rules are only indicative and may be modified / changed / revised and the complete list of rules and regulations as updated form time to time will be given to me on my form / student regulation book. I understand that in case I withdraw from the program I will not be entitled to claim any refund of amount paid. I agree that I will settle the amount with the VishvaVidya whether or not I continue in the program. I hereby declare that the information provided by me in this application is true and correct to the best of my knowledge. My signature below certifies that I have read, understood and agree to the rules and regulations, and my financial responsibilities. The VishvaVidya reserves the right to change the body of knowledge, prescribed books, the curriculum, examination pattern, evaluation system, rules and regulations. The students are governed by the latest regulations applicable to them during the relevant academic year. This document is designed to provide the prospective students with information only. The VishvaVidya assumes no liability of any kind to any person for providing this information, whether or not such person rely on it and even it they inform the VishvaVidya of their reliance on it. This document may contain forward-looking statement like, but not limited to, general market, macro-economic, government and regulatory trends, technological developments, court decisions, scope for further studies, career opportunities from graduates from the VishvaVidya. Such forwardlooking statements contained herein are subject to certain risks and uncertainties that could cause actual results to differ materially from those reflected in the forward-looking statements. The VishvaVidya undertakes no duty to update any forward-looking statements to reflect future events or circumstances. Enrollment Agreement: The Application for Enrollment is the Enrollment Agreement (hereinafter referred to as the Agreement) between the applicant who wishes to enroll on flexible mode and the VishvaVidya. Entire Agreement: This Agreement constitutes and expresses the entire agreement and understanding between the VishvaVidya and the students of the VishvaVidya in reference to all matters herein referred to, all previous discussions, promises, representations and understandings relative thereto, if any had between the parties hereto, being herein merged. Interpretation: The masculine, feminine or neuter gender and the singular or plural number shall be deemed to include the other gender or number where the context so indicates or requires. Unless otherwise expressly provided, references to days, months or years are to calendar days, months or years. Person or persons include individuals, corporations, government agencies or other entities. Section heading are included for convenience only and are not to used construe or interpret this Agreement. Conclusion of the Agreement: The Agreement is irrevocably concluded after the applicant signs the agreement for and submits it along with the required amount, physically, electronically or otherwise. No Third Party Beneficiaries: Enrollment of any student into the VishvaVidya programmes, shall not entitle any person (including, without limitation, members) to any right as third party beneficiary. Balance of Dues: The liability of the student to pay the balance of dues continues until the last installment is cleared even if the student, for any reason, withdraws form/ discontinues the pursuit of the program. Wherever student have arrears of payment, they may not be permitted to write the examinations or their examination results may not be released and their mark sheets, pass certificates may not be issued; further such students will be considered as inactive on the rolls and their names are liable to be removed from the records. No Obligation to Services, etc: The VishvaVidya has no obligation to render any services to the student members beyond the period of validity of enrollment. To clarify further, no obligation of the VishvaVidya shall survive beyond the period of validity of enrollment. Limitation of Liability: The liability of the VishvaVidya towards the students is limited only to the extent the fees paid by them. To clarify further, the VishvaVidya shall not be liable to the students for punitive, exemplary, special, indirect, or consequential damages, including without limitation, and for loss of profits. Assignment: The students cannot assign this Agreement nor any parts thereof the VishvaVidya may, without necessity of students consent, assign its rights and obligations under this Agreement to a successor organization. Force Majeure: The VishvaVidya shall not be liable for delay or failure in performance of any of its obligations under the Agreement when such delay or failure arises from events or circumstances beyond reasonable control of the VishvaVidya (including without limitation, acts of God, fire, flood, war, explosion, sabotage, terrorism, embargo, civil commotion, acts or omissions of any government entity, supplier delays, decision of the VishvaVidya, decisions of the court and governments, communications or power failure, equipment or software malfunction, or labor disputes).
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Indemnity: A student agrees to indemnify, defend and hold the VishvaVidya harmless from and against any and all loss, damage, liability and expense (including reasonable attorneys fees and costs) arising out of any third party claim, action or proceeding based directly or indirectly on the acts of omission and commission by the member or his/ her agents, the breach or alleged breach or failure to comply with any applicable law or regulations, concerning the practice of profession of management and IT. Arbitration: All disputes relation to or arising out of this Agreement shall be settled by first track arbitration of a sole arbitrator, to be appointed by VishvaVidya and the arbitration proceeding will be conducted under the Arbitration and Conciliation Act, 1996. The award of the sole arbitrator will be final and binding on the parties. Subject to that, the courts of Pune only will have jurisdiction in all matters arising out of this Agreement.
Parent And / Or Guardian (Optional) Name Relation with the student Place Date
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